Modern Dental Innovations, P C
NPI #1326118340 in Northbrook, Illinois
Provider Information
- NPI Number
- 1326118340
- Entity Type
- Organization
- Organization Name
- Modern Dental Innovations, P C
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1707 SHERMER ROAD
- Address 2
- SUITE 125
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062
- Phone
- (847) 498-3333
Authorized Official
- Name
- DR. TONY T. ATHANS, D.D.S.
- Title
- OWNER
- Phone
- (847) 498-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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